Does Using Latisse Promote Growth of Missing Lashes?

The most important part of improving the eyelash density is addressing the underlying tendency to pull the eyelashes. You might want to speak to your physician about options to deal with the underlying reasons you pull the lashes.But these lashes are likely injured and not permanently damaged - especially if you only pull on your lashes occasionally or haven't been doing it very long. If you can get assistance with stopping the pulling, it's likely you'll have some improvement even without Latisse but Latisse could promote improvement.Some individuals don't truly fit the definition of trichotillomania but rather just have a nervous habit. Ask your physician about options to stop pulling. There's many possible options.

If the hair follicle is dead,  Idon't think Latisse wil bring back to life. However since you don't know that for sure, give it a try and at least the existing lashes will thicken

Latisse works by stimulating the eyelash hair follicle to grow fuller, thicker and longer eyelahes. This all sounds great, however, you have to have a working hair follicle in order for the treatment to have an effect. If you have permanently damaged or destroyed the follicle by repeated injury to that area, then you will not see a direct effect on that dead follicle. You will, however, receive an effect on the collateral living follicles, thus, likely will notice a filling out of your eyelash line. The gap created by the nonworking follicles would then be filled in somewhat by the Latisse effect on the working follicles.

Pulling out eyelashes or eyebrows or other hair follicles while nervous or excited, is called Trichotillomania. I would suggest two things: 1. if you haven't already been evaluated or treated for Trichotillomania, you do that first. Because if the Latisse does work, you might be more inclined to pull on your lashes and cause more harm. 2. Latisse only works on active hair follicles, so you might want to be evaluated and see if you do indeed still have active follicles in the missing gaps. Assuming you do, the Latisse will work fine and fill in the gaps.

Latisse works by increasing the amount of time each eyelash hair remains in the growing phase so you need to have a living hair follicle to see growth of the missing lashes. You won't know if it will work unless you give it a try and refrain from pulling any more lashes. On a more personal note, ten years ago my wife lost all of her eyelashes due to allergies, none of which regrew. After using Latisse for approximately one year, she has now regrown the majority of her eyelashes.